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1.7 million Texans could lose health coverage under expiring tax credits, ACA changes in GOP megabill

TEXAS, JUL 18 – The expiration of enhanced premium tax credits will cause average ACA premiums to rise 75%, risking coverage loss for 1.7 million Texans and increasing the state's uninsured rate, experts say.

  • Up to 1.7 million Texans could lose health insurance due to ACA marketplace changes under a Republican tax and spending bill, as nearly 4 million are currently enrolled.
  • These losses stem from the looming expiration of enhanced premium tax credits at the end of 2025 and new stricter sign-up rules introduced by the GOP megabill.
  • Texas, which has not expanded Medicaid, has nearly 2.5 million ACA enrollees with incomes ranging from 100% up to one and a half times the federal poverty threshold, and enrollment in the marketplace has surged significantly since 2021 due to increased subsidy support.
  • KFF estimates that average premiums for Texans relying on tax credits will increase by 115% by 2024, while the state’s largest health insurer has requested a 21% rate hike next year for ACA individual coverage plans.
  • Experts warn these changes could cause the largest coverage loss since the ACA's passage, destabilize insurance markets, and increase financial strain on hospitals and enrollees.
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1.7 million Texans could lose health coverage under expiring tax credits, ACA changes in GOP megabill

Up to 1.7 million Texans could lose health insurance amid GOP changes to ACA, affecting state's uninsured rate and causing higher premiums and financial strain.

·Dallas, United States
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WFAA 8abc broke the news in Dallas, United States on Friday, July 18, 2025.
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